Estel Ray Sparks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1123 Issued in TN

Practice address

473 Front St
Spring City, TN 37381-5198

Phone

(423) 365-4313

Fax

(423) 365-4413

NPI assigned

Dec 19, 2005

Last updated

Nov 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mullins Vision Associates,PLLC

  • Optometrist
  • Cookeville, TN
  • NPI 1316130073
  NPD (past)
• Mullins Vision South, PLLC

  dba Mullins Vision Sparta

  • Optometrist
  • Sparta, TN
  • NPI 1972141877
  NPD (past)
• Rhonda Gross

  dba Specs In The City

  • Optometrist
  • Spring City, TN
  • NPI 1699933168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1265418537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 WARPATH DR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385726639",
            "telephone_number": "931-788-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 FRONT ST",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815198",
            "telephone_number": "423-365-4313",
            "fax_number": "423-365-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ESTEL",
        "middle_name": "RAY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Gross (Specs In The City)
• Clark Christopher Rose, LPC
• SC Pharmacy LLC (Spring City Pharmacy)
• Alexis Smith, MS, RD
• Frank Stephen Snyder, DPH.
• Hannah Spencer, LPN
• Spring City Family Clinic PLLC
• Spring City Family Medicine PLLC (William Thurman Bates III TTEE)
• Spring City Pharmacy Inc (Spring City Pharmacy)
• Spring City Walk in Medical Center, LLC

• Optometrist in Spring City, TN
• Providers in Spring City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.